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Personal Details

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*  Title-MrMissMsMrsOther

*  First Name

*  Last Name

*  Birthday

*  Age

*  Email

*  Mobile

National Insurance Number

Address

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*  Street Address

*  Post Code

*  City/Town

About you

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*  Are you currently working? -Working - 16 hours or over Working - Less than 16 hours Working (under threat of redundancy) Full-time education Furloughed Self-employed Unemployed

*  Are you claiming any benefits? -No Yes - less than 12 months Yes - Between 12-18 months Yes 18 months+

Current Employment

Employer

*  Are you interested in the Kickstart Job Placements (for 16-24 year olds) -Yes No I'd like to know more

*  Do you have a driving licence? -YesNoYes and have own transportProvisional licence

What is your 1st choice job type? -AdminAnimal CareCateringChildcareCleaningConstructionDrivingEducationGrounds MaintenanceHair & BeautyHealth & Social CareHealth Fitness & LeisureHospitalityManual Hands On WorkMechanics/ EngineeringNHS - Step Into WorkProduction WorkRetailSecuritySelf-employmentVoluntaryWarehouse

What is your 2nd choice job type? -AdminAnimal CareCateringChildcareCleaningConstructionDrivingEducationGrounds MaintenanceHair & BeautyHealth/Fitness & LeisureHealth & Social CareHospitalityManual Hands On WorkMechanics/ EngineeringNHS - Step Into WorkProductionRetailSecuritySelf-employmentVoluntaryWarehouse

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*  Where did you hear about Mon CF?-Jobcentre BangorWalk inCareers WalesExternal EmployerQR CodeJobcentre AmlwchJobcentre HolyheadJobcentre LlangefniMon CF websiteLeaflet/PosterOther AgencyFriends/FamilyMon CF EventRe-engagementOtherIOACC Reflect PractitionerSocial MediaSuperdrug windowWorking WalesJobcentre CaernarfonMon CF officesYouth Service

*  Your preferred office? -Holyhead Amlwch Menai Bangor Caernarfon

*  What type of support are you looking for? CV Writing Job Applications Training All of the Above

*  How would you prefer to be contacted to arrange your first appointment? -Email Phone

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